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RHIhub This Week - December 5, 2018

New in the Rural Monitor

MU student with poster presentation Mizzou Educates the Next Generation of Rural Providers through Lectures, Clerkships, and Community Integration
by Allee Mead
The MU AHEC Rural Track Pipeline Program in Missouri prepares its medical students and residents for rural practice through a lecture series, rural clerkships, and a community integration project. You can read more about this program in our Models & Innovations.

Upcoming Webinar

Insights on Rural Health Insurance Market Challenges from the National Advisory Committee on Rural Health and Human Services
Join our webinar on December 12, 2018 at 1 p.m. Central with the National Advisory Committee on Rural Health and Human Services (NACRHHS) exploring Rural Health Insurance Market Challenges. Featured speakers include Paul Moore and Normandy Brangan from the Federal Office of Rural Health Policy, Mary K. Rolf from Home Care of Central New York, and Abigail Barker from Washington University in St. Louis, Missouri.

Update RHIhub Topic Guide

Rural Tribal Health
We updated this topic guide with several new Frequently Asked Questions (FAQs), including on Social Determinants of Health and Community Health Representatives, and new information throughout. Check it out!

Models and Innovations

Blood Pressure Self-Monitoring Stations
Self-check blood pressure stations in rural West Virginia's community spaces and worksites allow community members to check their numbers outside of a healthcare facility.
Foundations Family Medicine's HIV, HCV, Opioid and Substance Use Disorder Services
Scott County, Indiana, has seen the largest concentrated outbreak of HIV in rural America's recent history. With the help of Foundations Family Medicine's treatment for HIV, HCV, and OUD/SUD, the health of the county has greatly improved. See also the Q&A with Dr. William Cooke, the physician leading this effort, in last week's edition of the Rural Monitor.
Pathways to Healthcare Professions
Through the Health Profession Opportunity Grants program, Native Americans in South Dakota and Nebraska can earn industry-recognized healthcare certifications and post-secondary degrees.

 New in Our Online Library

Recent News

CMS Hospital Value-Based Purchasing Program Results for Fiscal Year 2019
Dec 3, 2018 -- Fact sheet from the Centers for Medicare and Medicaid Services (CMS) on the Hospital Value-Based Purchasing Program (VBP) Results for Fiscal Year 2019. The Hospital VBP adjusts what Medicare pays individual hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of inpatient care that hospital provides.
Source: Centers for Medicare and Medicaid Services

HHS Secretary Azar Declares Public Health Emergency in Alaska Due to Earthquake Damage
Dec 3, 2018 -- The U.S. Department of Health and Human Services (HHS) has declared a public health emergency in Alaska due to the recent earthquake. This declaration allows HHS agencies like the Centers for Medicare and Medicaid Services (CMS) greater flexibility in responding to the needs of the people affected by the disaster.
Source: U.S. Department of Health and Human Services

In Rural Appalachia, Can Health Care Become the New Coal?
Dec 3, 2018 -- Discusses a rural Kentucky town that has turned to healthcare jobs to provide a more diversified economic infrastructure. Includes a local community college providing healthcare training opportunities.
Source: PBS

HHS: 340B Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties Regulation
Nov 30, 2018 -- The Health Resources and Services Administration announces an effective date change for the January 5, 2017 final rule setting the 340B ceiling price calculation and defining civil monetary penalties. The final rule will now be effective January 1, 2019.
Source: Federal Register

Rural Health Expert Weighs In On Latest CDC Report Of U.S. Decrease In Life Expectancy Rate
Nov 30, 2018 -- Radio interview with Ted Matthews, a psychologist with Minnesota's Department of Agriculture who provides mental health services to farmers around the state. Discussion focuses on the recent report from the Centers for Disease Control and Prevention (CDC) documenting a decrease in the life expectancy rate in the U.S. attributed in part to drug overdose deaths and suicides. In Minnesota, there has been a 40% increase in suicide in the last 20 years.
Source: NPR

Another Drug Crisis: Methamphetamine Use By Pregnant Women
Nov 29, 2018 -- Discusses a recent study documenting increased use of amphetamines among pregnant women in recent years. The study found disproportionate growth of the use of these drugs in the South, the Midwest, and the West, with rural areas having a higher rate than cities. Also touches on the not-uncommon trend of women using both amphetamines and opioids simultaneously, and the difficulty associated with stopping use of both while pregnant.
Source: NPR

U.S. Life Expectancy Declines Again, a Dismal Trend Not Seen since World War I
Nov 29, 2018 -- Data released from the Centers for Disease Control and Prevention show a continued decline in life expectancy. Suicide and drug overdoses continue to be major factors in the decline, with 2017 drug overdose deaths more than quadruple the number in 1999 and suicide rates increasing by a third between 1999 and 2017. Suicide rates in rural counties are reported to be nearly double that of urban counties for 2017.
Source: The Washington Post

Funding & Opportunities

Connecting Kids to Coverage Healthy Kids 2019 Outreach and Enrollment Grants
Grants to organizations that help families with children enroll in health coverage opportunities, including Medicaid, CHIP, and insurance affordability programs.
Geographic coverage: Nationwide
Letter of Intent (Required): Jan 4, 2019
Application Deadline: Jan 28, 2019
Sponsors: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services


AmeriCorps VISTA Sponsoring Agency Request for Concept Papers
A national service program that provides resources and staffing for organizations and agencies working to alleviate poverty and address poverty-related problems in local communities.
Geographic coverage: Nationwide
Application Deadline: Jan 14, 2019
Sponsor: Corporation for National and Community Service


Primary Care Training and Enhancement: Integrating Behavioral Health and Primary Care Program
Grants for innovative training programs that integrate behavioral healthcare into primary care, particularly in rural and underserved settings, with a special emphasis on the treatment of opioid use disorder.
Geographic coverage: Nationwide
Application Deadline: Jan 28, 2019
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


Brownfields Assessment Grants
Grants for developing inventories of brownfield sites, prioritizing sites, conducting community involvement activities, conducting planning, conducting site assessments, developing site-specific cleanup plans, and developing reuse plans related to brownfield sites.
Geographic coverage: Nationwide
Application Deadline: Jan 31, 2019
Sponsor: U.S. Environmental Protection Agency


Brownfields Cleanup Grants
Grants to carry out cleanup activities at specific Brownfields sites, resulting in better community environmental health.
Geographic coverage: Nationwide
Application Deadline: Jan 31, 2019
Sponsor: U.S. Environmental Protection Agency


Brownfields Multipurpose Grants
Grants to carry out a range of eligible assessment and cleanup activities within a proposed target area, such as a neighborhood, a number of neighboring towns, a district, a corridor, a shared planning area or a census tract. Funds must be used for environmental site assessments, brownfields site cleanup, and the development of a plan for the revitalization of one or more brownfields site.
Geographic coverage: Nationwide
Application Deadline: Jan 31, 2019
Sponsor: U.S. Environmental Protection Agency


Grants to Tribal Governments to Exercise Special Domestic Violence Criminal Jurisdiction (SDVCJ)
Grant support and technical assistance for tribes for planning, developing, and implementing changes in tribal criminal justice systems necessary to exercise Special Domestic Violence Criminal Jurisdiction (SDVCJ). Collaboration among tribal entities is strongly encouraged.
Geographic coverage: Nationwide
Letter of Intent (Optional): Jan 31, 2019
Application Deadline: Feb 14, 2019
Sponsors: Office on Violence Against Women, U.S. Department of Justice


Children’s Justice Act Partnerships for Indian Communities: Coordinated Tribal Assistance Solicitation (CTAS)
Funding, technical assistance, and training to help American Indian and Alaska Native communities develop, establish, and operate programs designed to improve the investigation, prosecution, and handling of cases of child abuse and neglect, and particularly child sexual abuse cases, in a manner which lessens trauma for child victims.
Geographic coverage: Nationwide
Application Deadline: Feb 26, 2019
Sponsors: Office for Victims of Crime, U.S. Department of Justice


Juvenile Tribal Healing to Wellness Courts: Coordinated Tribal Assistance Solicitation (CTAS)
Funding for federally recognized tribes to develop and implement healing to wellness court programs that focus on responding to alcohol and substance use issues of tribal juveniles and young adults under 21. Juvenile Healing to Wellness Courts use a team approach that includes judges, attorneys, probation, law enforcement, treatment providers, educational and vocational services, and other partners to help individuals with substance use disorders achieve sustained recovery and avoid re-offending.
Geographic coverage: Nationwide
Application Deadline: Feb 26, 2019
Sponsors: Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice


Tribal Justice Systems Planning and Direct Services: Coordinated Tribal Assistance Solicitation (CTAS)
Grants to engage in comprehensive justice system-wide strategic planning and direct service program implementation to improve tribal justice and safety, including community wellness and the capacity to prevent crime.
Geographic coverage: Nationwide
Application Deadline: Feb 26, 2019
Sponsors: Bureau of Justice Assistance, U.S. Department of Justice


Tribal Victim Services Program: Coordinated Tribal Assistance Solicitation (CTAS)
Funding to improve services for victims of crime in American Indian and Alaska Native communities.
Geographic coverage: Nationwide
Application Deadline: Feb 26, 2019
Sponsors: Office for Victims of Crime, U.S. Department of Justice


Tribal Youth Program: Coordinated Tribal Assistance Solicitation (CTAS)
Grants to prevent and reduce juvenile delinquency and strengthen a fair and beneficial juvenile justice system response for American Indian and Alaska Native youth.
Geographic coverage: Nationwide
Application Deadline: Feb 26, 2019
Sponsors: Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice


Violence Against Women Tribal Governments Program: Coordinated Tribal Assistance Solicitation (CTAS)
Grants to improve the criminal justice system response to violence against women, including supporting law enforcement, prosecution, courts, and multi-disciplinary teams.
Geographic coverage: Nationwide
Application Deadline: Feb 26, 2019
Sponsors: Office on Violence Against Women, U.S. Department of Justice


Rural Residency Planning and Development Program
Grants to develop new rural residency programs or Rural Training Tracks in family medicine, internal medicine, and psychiatry to support expansion of the physician workforce in rural areas.
Geographic coverage: Nationwide
Application Deadline: Mar 4, 2019
Sponsors: Bureau of Health Workforce, Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services

New Resources

Burnout and Job and Career Satisfaction in the Physician Assistant Profession: A Review of the Literature
Discussion paper exploring factors contributing to burnout and job satisfaction among physician assistants (PAs), by examining 37 scholarly articles, 4 of which evaluate PAs in rural areas. Features a list of high-priority research areas and an appendix showing key findings from each of the 37 articles.
Sponsoring organization: National Academy of Medicine
Date: 12/2018


Electronic Health Record Adoption and Interoperability among U.S. Skilled Nursing Facilities and Home Health Agencies in 2017
Presents data for home health agencies and skilled nursing facilities describing their use of health information technology (HIT) in 2017. Includes statistics on electronic health record (EHR) adoption and interoperability. Covers information telehealth use in home health agencies by rural versus urban location and ownership type.
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 11/2018


Health Disparities Among American Indians/Alaska Natives — Arizona, 2017
Reports on sociodemographic characteristics, healthcare access, health behaviors, health status, and chronic conditions among Arizona adults, with data for American Indians/Alaska Natives (AI/ANs), whites, and other adults. Discusses the need for culturally tailored public health approaches to address AI/AN health disparities.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 67(47), 1314-1318
Date: 11/2018


Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment
Examines the feasibility of integrating the Department of Defense and Department of Veterans Affairs healthcare systems. Explores the potential impact on healthcare access, quality, and costs for beneficiaries, addressing implications for rural areas throughout. Discusses changes that would need to be made at a legislative, policy, and contractual level if an integrated purchased care program was implemented.
Sponsoring organization: RAND Corporation
Date: 2018


Medication-Assisted Treatment for Opioid Use Disorder in the Child Welfare Context: Challenges and Opportunities
Discusses challenges and opportunities related to medication-assisted treatment (MAT) for parents with opioid use disorder, focusing on child welfare. Highlights the importance of counseling to address mental health and parenting issues as part of the treatment. Covers difficulties faced with accessing counseling services, particularly in rural areas. Based on a qualitative mixed methods study that included rural and urban counties experiencing a high level of drug overdoses and emergency room visits.
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 11/2018


The Rural Hospital and Health System Affiliation Landscape - A Brief Review
Describes choices available to rural hospitals and health systems when considering affiliations with urban-based hospitals, examines motivations for these affiliations, and presents a list of some affiliation structures with examples. Features statistics showing trends in hospital system affiliation by census region from 2007-2016, with breakdowns by metropolitan and nonmetropolitan hospitals and nonmetropolitan Critical Access Hospitals.
Sponsoring organization: Rural Policy Research Institute
Date: 11/2018


Rural Quality Advisory Council Meeting Summary: Thursday, October 4, 2018
Summarizes a meeting of the Rural Quality Advisory Council that focused on opioid quality measures related to rural, the National Quality Forum's (NQF) core set of rural-relevant measures, and the Rural Quality Improvement Technical Assistance (RQITA) program.
Sponsoring organization: Stratis Health
Date: 10/2018


Small Area Income and Poverty Estimates: 2017
Highlights from the 2017 Small Area Income and Poverty Estimates (SAIPE), which provides single-year median household income and poverty statistics. Includes county-level maps showing income and poverty rates in 2017, changes from 2016 to 2017, and changes from 2007 to 2017.
Sponsoring organization: U.S. Census Bureau
Date: 12/2018


Sources of Supplemental Coverage Among Medicare Beneficiaries in 2016
Examines sources of supplemental coverage for traditional Medicare beneficiaries with breakdowns by race/ethnicity, income, rural location, and more.
Sponsoring organization: Kaiser Family Foundation
Date: 11/2018


Suicide Mortality in the United States, 1999-2017
Reports on trends in suicide mortality from 1999 through 2017. Includes data by urbanization level of the decedent’s county of residence, with information for metropolitan, micropolitan, and noncore counties.
Sponsoring organization: National Center for Health Statistics
Date: 11/2018


Working Children: Federal Injury Data and Compliance Strategies Could Be Strengthened
Provides a detailed analysis of children working in agriculture and non-agricultural occupations, with a focus on work-related injuries and fatalities. Provides recommendations for the Department of Labor to help them improve their data collection efforts and to help address the risks for children working in agriculture. Appendix V includes additional detailed information on hired child crop workers and Appendix VI details information for children working on farms.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 11/2018

Open Calls for Contributions

Call for Speakers: 2019 10th Annual Georgia Partnership for Telehealth Conference
Deadline: Jan 4, 2019
Global Partnership for Telehealth, Southeastern Telehealth Resource Center
Event Dates: Mar 20 - 22, 2019
Lake Blackshear, GA
Conference Website

Call for Abstracts: 2019 11th Annual Tribal Public Health Conference
Deadline: Jan 18, 2019
7th Generation, Southern Plains Tribal Health Board
Event Dates: Apr 9 - 11, 2019
Tulsa, OK
Conference Website

Upcoming Events

Dec
6
Million Hearts® in Municipalities Learning Collaborative: Introduction
Time: 1:00 - 2:00 p.m. Central
Call-in: 1.866.740.1260
Access Code: 4638617#
Centers for Disease Control and Prevention, National Association of County and City Health Officials
chronicdisease@naccho.org
Dec
7
Patient and Family Partnerships: An Essential Strategy to Address the Opioid Epidemic
Time: 1:00 - 2:00 p.m. Eastern
Institute for Patient- and Family-Centered Care
Dec
11
Using Law and Policy as Tools to Support Healthy Aging in Healthy Communities
Time: 1:00 - 2:00 p.m. Eastern
Healthy People
Dec
12
Insights on Rural Health Insurance Market Challenges from the National Advisory Committee on Rural Health and Human Services
Time: 1:00 p.m. Central
National Advisory Committee on Rural Health and Human Services, Rural Health Information Hub
701.777.0584
cathy@ruralhealthinfo.org
Dec
12
NACCHO - Rural Health Section Quarterly Call: Strategic Visioning for 2019
Time: 2:30 - 3:30 p.m Central
National Association of County and City Health Officials
Dec
13
Research Ethics Training for Health in Indigenous Communities
Collaborative Research Center for American Indian Health
Rapid City, SD
605.312.6228
michaela.seiber@sanfordhealth.org
Dec
14
What Drug Monitoring Data Tells Us about the Current State of the Opioid Epidemic
Time: 12:00 - 1:00 p.m. Eastern
National Council for Behavioral Health
Communications@thenationalcouncil.org
Dec
19
USDA Rural Development Distance Learning and Telemedicine Grant Program Workshop
USDA Rural Development Georgia State Office
Newnan, GA
770.312.7073
andrew.hayes@wdc.usda.gov
Jan
16
Project ECHO Colorado Learning Series: Colorado ALTO Project - Alternatives to Opioids in the Emergency Department - Session 1 of 4
Colorado Hospital Association
Jan
28
2019 Annual Arizona Rural & Public Health Policy Forum
Arizona Center for Rural Health, Arizona Rural Health Association
Phoenix, AZ
520.626.2243
raruiz@email.arizona.edu
Jan
29-31
2019 CMS Quality Conference
Centers for Medicare and Medicaid Services
Baltimore, MD
cmslogistical@thebizzellgroup.com
Jan
30-31
2019 5th Annual Missouri Telehealth Summit
University of Missouri School of Medicine - Missouri Telehealth Network
Jefferson City, MO
573.882.4349
Jan-Feb
30-1
2019 15th Annual 340B Coalition Winter Conference
340B Coalition
San Diego, CA
202.552.5856
lee-anne.gabrielli@340bhealth.org
Jan-Feb
30-1
2019 7th Annual Telehealth and Remote Patient Monitoring Summit
World Congress
Atlanta, GA
800.767.9499
wcreg@worldcongress.com
Jan
31
Critical Access Hospital Conditions of Participation 2019: Ensuring Compliance - Part 2 of 4
Time: 10:00 a.m. - 12:00 p.m. Eastern
Georgia Hospital Association
770.249.4542
bzappa@gha.org

Tell Us How RHIhub Has Impacted You

The Rural Health Information Hub is seeking your comments on how our services have helped you in your efforts to improve healthcare and population health in rural communities. Have the RHIhub services helped you to stay informed, get a grant, find the proper federal agency contact or other expert, or otherwise changed your life?

Please send an email telling how RHIhub has impacted you to kristine@ruralhealthinfo.org. Your stories may be used in testimony, budget documents and presentations concerning the Rural Health Information Hub.